| NPI | 1083386320 |
|---|---|
| Doing Business As | RIVERWOOD HEALTH MONTANA |
| Entity Type | Organization |
| Authorized Contact | JEFF B CHANDLER Owner/Manager 850-261-9267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |